Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,943.62 / $1,943.62 / $1,943.62	Facility		$1,943.62	$1,943.62	$1,943.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,711.63 / $1,943.62 / $3,221.89	Professional		$1,711.63	$1,943.62	$3,221.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,692.09 / $7,938.19 / $33,788.30	Facility		$4,692.09	$7,938.19	$33,788.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,984.48 / $2,984.48 / $2,984.48	Professional		$2,984.48	$2,984.48	$2,984.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $4,298.38	Facility		$2,540.30	$2,540.30	$4,298.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,540.30 / $4,552.50	Professional		$1,854.42	$2,540.30	$4,552.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,534.26 / $4,703.49 / $5,741.75	Professional		$3,534.26	$4,703.49	$5,741.75
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,105.04 / $5,105.04 / $5,105.04	Professional		$5,105.04	$5,105.04	$5,105.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,458.44 / $1,959.11 / $3,363.14	Professional		$1,458.44	$1,959.11	$3,363.14